Pilot project declares war on hospital germs
Multi-resistant hospital germs are a growing problem in hospitals across Germany. With a pilot project, the AOK Bremen / Bremerhaven and the Red Cross Hospital in Bremen are now trying to break new ground in the fight against dangerous MRSA germs.
The pilot project of the health insurance company AOK and the Red Cross Hospital is intended to help curb the spread of resistant hospital germs and significantly reduce the risk of infection during a hospital stay. For this purpose, insured persons with AOK who are about to use an artificial joint or a vascular prosthesis will be tested for MRSA germs in advance of the planned operation. With appropriate detection of the pathogen, they receive special advice and treatment to avoid the transmission of the germs and to reduce the risk of infection.
Special advice and treatment should prevent the spread of hospital germs. If an existing infection is found in the patient, as part of the pilot project, those affected will receive a hygiene care set with special nasal gel, shampoo and disinfectant, as well as detailed advice on the rules of conduct, the one Should prevent transmission of the germs. With the help of the care set "patients should remove the germs from the skin themselves for a week," explained the medical director of the Red Cross Hospital, Dr. Stefan Herget-Rosenthal. The enclosed mouthwashes and nasal ointment should help to kill the pathogens in the mouth or throat and on the nasal mucosa. In this way, the doctors hope not only to avoid spreading the pathogens in the clinic, but also to prevent the germs from entering the organism during the operation. Because the germs remain, according to Dr. Herget-Rosenthal often adhere to the prostheses used, which can lead to serious complications. Since antibiotics have no effect on resistant hospital germs, removal of the prosthesis is usually necessary. For the patients, this means months of suffering with an open wound and without an implant, emphasized the commercial director of the Red Cross Hospital, Dr. Walter Klingelhöfer.
Pilot project on hospital germs initially limited to one year According to the initiators, the pilot project is initially limited to one year to check whether the number of hospital infections can be reduced in this way. After a one-year pilot phase, the aim is to determine the number of patients with the corresponding germs and the acceptance of the project by the patients. In principle, however, there is no doubt about the need to step up action against the spread of dangerous hospital germs. Because numerous patients are noticeably unsettled by the frequent reports of resistant pathogens in the clinics. The chairman of the AOK Bremen / Bremerhaven, Norbert Kaufhold, also emphasized that the AOK project "wants to use the opportunities" to "protect its insured persons from unnecessary risks" and in this way to reduce the fear of hospitalization. The Head of Unit in the Bremen Health Department, Dr. Martin Götz, was convinced of the approach of the pilot project and assumes that this will have “a pull effect for other federal states and health insurers”.
Annually more than half a million hospital infections in Germany annually, according to the joint assessment of the German Society for Hospital Hygiene (DGKH), the Society for Hygiene, Environmental Medicine and Preventive Medicine (GHUP) and the Federal Association of Doctors of the Public Health Service (BVÖGD) in the past year 30,000 people in Germany from the consequences of infections with the so-called hospital germs. According to the experts, between 500,000 and 900,000 people suffer a corresponding infection each year during a hospital stay in Germany. The pathogens are resistant to common antibiotics and can therefore hardly be treated, or only with extreme difficulty. In the clinics, the inadequate use of antibiotics and the neglect of hygiene regulations often lead to the development or spread of resistant pathogens. The immune system of the already weakened hospital patients often has little to counteract the germs, making them particularly easy to infect. (fp)
Antibiotic-resistant bacteria in sea water
Resistant bacteria in German hospitals
Infection risk in the hospital
Hospital germs: Staphylococci prefer blood